Individual
GABRIELLE ALYSSA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8866 MYRTLE AVE, GLENDALE, NY 11385-7857
(718) 850-0400
Mailing address
11711 SUTTER AVE, SOUTH OZONE PARK, NY 11420-2315
(917) 935-5365
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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